ArticleJournal of the American Medical Informatics Association : JAMIA2017
Two-year longitudinal assessment of physicians' perceptions after replacement of a longstanding homegrown electronic health record: does a J-curve of satisfaction really exist?
Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Transitioning from One Electronic Health Record to Another: A Systematic Review.Journal of general internal medicine · 2023Pooled it
- The effect of EHR-integrated patient-reported outcomes on satisfaction with chronic pain care.The American journal of managed care · 2016Trial
- Evaluation of Health Professions Trainee Experiences Transitioning to New VHA Electronic Health Record.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026Article
- EMR usability and patient safety: a national survey of physicians.NPJ digital medicine · 2025Article
- "For the first time…I am seriously fighting burnout": clinician experiences with a challenging electronic health record transition.JAMIA open · 2024Article
- Advancing the Science of Electronic Health Record Transitions.Journal of general internal medicine · 2023Article
- Medication Safety Amid Technological Change: Usability Evaluation to Inform Inpatient Nurses' Electronic Health Record System Transition.Journal of general internal medicine · 2023Article
- From "Local Control" to "Dependency": Transitions to Single-Vendor Integrated Electronic Health Record Systems and Their Implications for the EHR Workforce.Journal of general internal medicine · 2023Article
- Assessing Electronic Health Record (EHR) Use during a Major EHR Transition: An Innovative Mixed Methods Approach.Journal of general internal medicine · 2023Article
- A Multiyear Survey Evaluating Clinician Electronic Health Record Satisfaction.Applied clinical informatics · 2023Article
- Evaluating Electronic Health Record Limitations and Time Expenditure in a German Medical Center.Applied clinical informatics · 2021Article
- Effects of Electronic Health Record Implementation and Barriers to Adoption and Use: A Scoping Review and Qualitative Analysis of the Content.Life (Basel, Switzerland) · 2020Article
- Transitions from One Electronic Health Record to Another: Challenges, Pitfalls, and Recommendations.Applied clinical informatics · 2020Article
- Physician champions' perspectives and practices on electronic health records implementation: challenges and strategies.JAMIA open · 2020Article
- Electronic Health Records in Ophthalmology: Source and Method of Documentation.American journal of ophthalmology · 2020Article
- Health systems' use of enterprise health information exchange vs single electronic health record vendor environments and unplanned readmissions.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- The associations between query-based and directed health information exchange with potentially avoidable use of health care services.Health services research · 2019Article
- Changes in Electronic Health Record Use Time and Documentation over the Course of a Decade.Ophthalmology · 2019Article
- Migrating from One Comprehensive Commercial EHR to Another: Perceptions of Front-line Clinicians and Staff.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- Nurses' Experience With Health Information Technology: Longitudinal Qualitative Study.JMIR medical informatics · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
This report describes a 2-year prospective, longitudinal survey of attending physicians in 3 clinical areas (family medicine, general pediatrics, internal medicine) who experienced a transition from a homegrown electronic health record (EHR) to a vendor EHR. Participants were already highly familiar with using EHRs. Data were collected 1 month before and 3, 6, 13, and 25 months post implementation. Our primary goal was to determine if perceptions followed a J-curve pattern in which they initially dropped but eventually surpassed baseline measures. A J-curve was not found for any measures, including workflow, safety, communication, and satisfaction. Only the reminders and alerts measure dropped and then returned to baseline (U-curve); a few remained flatlined. Most dropped and remained below baseline (L-curve). The only measure that remained above baseline was documenting in the exam room with the patient. This study adds to the literature about current controversies surrounding EHR adoption and physician satisfaction.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.